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# # # > l > > > > > > # > > > > > > > > > v : ADMISSIONS QUESTIONNAIRE
Department of Human Development & Psychological Counseling
Appalachian State University
Dear Prospective Student:
The faculty of the Department of Human Development & Psychological Counseling (HPC) believe that many factors must be considered in assessing your application. To aid the admissions committee in examining your goals and reasons for applying, this questionnaire must be completed as part of the admissions process. Each program's admissions committee meets periodically to make decisions regarding applications and, thus, it is important that you give prompt and careful consideration to these questions.
Please return the completed form to the departmental office. You may also access the questionnaire on our website, HYPERLINK "http://www.hpc.appstate.edu" www.hpc.appstate.edu, and upload the completed questionnaire on the supplemental page of the Graduate School application (preferred method). Thank you for applying to a program in HPC.
Admissions Coordinator
Department of Human Development
& Psychological Counseling
Appalachian State University
Boone, NC 28608
Name______________________________________Date of Birth_______________________
Address___________________________________ Home Phone # (______)______-_______
City______________________________________ State_________ Zip_________________
E-mail Address
Today's Date ____/____/____ Do you plan to enroll: ______ part-time; or ______ full time?
Program/Major for which you are applying: ______ M.A. ______ Second M.A.
( ) College Student Development (college/university), Major Code: 496* ( ) Clinical Mental Health Counseling, Major Code: 709*
( ) Marriage and Family Therapy, Major Code: 468A
( ) Professional School Counseling (public school certification), Major Code: 427*
OR
Certificate Program
( ) Addiction Counseling (Focus Code: 423A)
( ) Expressive Arts Therapy (Focus Code: 425A)
Briefly describe your reasons for applying to this program.
What factor(s) have influenced your decision to pursue a graduate degree at this time?
What are your short-term and long-term career objectives?
What are the two (2) most significant things you have done during the past year?
What personal qualities do you possess that you believe will facilitate your work in this field?
What paid or volunteer experiences have you had that are related to this field?
7. What personal qualities and/or experiences do you most need to facilitate your work in this field?
8. Describe your technological competence and computer literacy.
9. If you wish, state other factors which you believe should be considered by the Admissions Committee.
Revised 06/09
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